Individual
DR. EUGENE CHARLES HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4065 3RD AVE STE 300, SAN DIEGO, CA 92103-2184
(619) 298-2291
(619) 298-8504
Mailing address
4065 3RD AVE STE 300, SAN DIEGO, CA 92103-2184
(619) 298-2291
(619) 298-8504
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21800
CA
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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